Organization
JCK HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACUQILINE OGUNDIPE (OWNER)
(903) 454-2119
Entity
Organization
Contact information
Practice address
4030 WESLEY ST, GREENVILLE, TX 75401-5634
(915) 313-1643
Mailing address
4030 WESLEY ST, GREENVILLE, TX 75401-5634
(915) 313-1643
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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